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psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation-electronic
January 15, 2025 - Study
Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system.
Citation Text:
Sardaneh AA, Burke R, Ritchie A, et al. Pharmacist-led admission medication reconciliation before and after the implementation of an …
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-people-dementia-care-homes-retrospective-analysis
April 20, 2022 - Study
Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis.
Citation Text:
Parsons C, Johnston S, Mathie E, et al. Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. Drugs Ag…
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psnet.ahrq.gov/issue/emergency-departments-are-higher-risk-locations-wrong-blood-tube-errors
November 17, 2021 - Study
Emergency departments are higher-risk locations for wrong blood in tube errors.
Citation Text:
Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher‐risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588.
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psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture
July 31, 2024 - Study
From reporting to improving: how root cause analysis in teams shape patient safety culture.
Citation Text:
Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-18…
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psnet.ahrq.gov/issue/adverse-events-after-transition-icu-hospital-ward-multicenter-cohort-study
October 13, 2018 - Study
Adverse events after transition from ICU to hospital ward: a multicenter cohort study.
Citation Text:
Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.00000…
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psnet.ahrq.gov/issue/analysis-academic-medical-centers-corrective-action-plan-response-fatal-medication-error
February 21, 2018 - Commentary
Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness.
Citation Text:
Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s co…
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psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
July 24, 2017 - Study
Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population.
Citation Text:
Samal L, Khasnabish S, Foskett C, et al. Comparison of a voluntary safety reporting system to a global trigger tool for identifying ad…
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psnet.ahrq.gov/issue/deployment-second-victim-peer-support-program-replication-study
January 12, 2022 - Study
Deployment of a second victim peer support program: a replication study.
Citation Text:
Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031.
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psnet.ahrq.gov/issue/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach
March 29, 2023 - Study
Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach.
Citation Text:
Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Adv Simul …
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psnet.ahrq.gov/issue/implementing-rise-second-victim-support-programme-johns-hopkins-hospital-case-study
March 03, 2019 - Study
Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study.
Citation Text:
Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. d…
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psnet.ahrq.gov/issue/factorial-survey-safety-behavior-providing-opportunities-improve-safety
November 16, 2015 - Study
A factorial survey on safety behavior providing opportunities to improve safety.
Citation Text:
Simons P, Houben R, Reijnders P, et al. A Factorial Survey on Safety Behavior Providing Opportunities to Improve Safety. J Patient Saf. 2018;14(4):193-201. doi:10.1097/PTS.00000000000001…
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psnet.ahrq.gov/issue/intraoperative-sentinel-events-era-surgical-safety-checklists-results-national-survey
August 04, 2021 - Study
Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey.
Citation Text:
Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey. OTO Open. 2020;4(4):…
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psnet.ahrq.gov/issue/measuring-variation-use-who-surgical-safety-checklist-operating-room-multicenter-prospective
January 19, 2016 - Study
Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study.
Citation Text:
Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicente…
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psnet.ahrq.gov/issue/modifications-medical-emergency-team-activation-criteria-and-implications-patient-safety
July 20, 2022 - Study
Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study.
Citation Text:
Sprogis SK, Street M, Currey J, et al. Modifications to medical emergency team activation criteria and implications for patient safety: a point …
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psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit
January 12, 2022 - Study
Improving resident handoffs for children transitioning from the intensive care unit.
Citation Text:
Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2…
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psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014
July 27, 2023 - Study
Wrong-site surgery in California, 2007–2014.
Citation Text:
Moshtaghi O, Haidar YM, Sahyouni R, et al. Wrong-site surgery in California, 2007-2014. Otolaryngol Head Neck Surg. 2017;157(1):48-52. doi:10.1177/0194599817693226.
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psnet.ahrq.gov/issue/does-incorporating-medications-surveyors-interpretive-guidelines-reduce-use-potentially
December 15, 2011 - Study
Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes?
Citation Text:
Lapane KL, Hughes CM, Quilliam BJ. Does Incorporating Medications in the Surveyors' Interpretive Guidelines Reduce the…
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psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions
December 16, 2020 - Study
Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.
Citation Text:
Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):62…
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psnet.ahrq.gov/issue/human-factors-analysis-latent-safety-threats-pediatric-critical-care-unit
April 28, 2021 - Study
Human factors analysis of latent safety threats in a pediatric critical care unit.
Citation Text:
Trbovich PL, Tomasi JN, Kolodzey L, et al. Human factors analysis of latent safety threats in a pediatric critical care unit. Pediatr Crit Care Med. 2022;23(3):151-159. doi:10.1097/pcc…
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psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted
March 15, 2023 - Study
Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients.
Citation Text:
Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients…